DR. GRATIAS TOM MUNDAKEL


Address: 451 Clarkson Ave, C4128, Kings County Hospital Center, Brooklyn, NY 10301
Phone: 7182454753

DR. GRATIAS TOM MUNDAKEL (NPI# 1265523427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265523427
Entity Type Individual
Full Name DR. GRATIAS TOM MUNDAKEL
Credential M. D.
Practice Address 451 Clarkson Ave, C4128
Kings County Hospital Center
Brooklyn
NY 10301
Mailing Address 700 Victory Blvd
Apt 5l
Staten Island
NY 10301
Practice Telephone 7182454753
Practice Fax Number 7182452141
Mailing Telephone 5163580186
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
002068 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 451 CLARKSON AVE, C4128
KINGS COUNTY HOSPITAL CENTER
City BROOKLYN
State NY
Zip Code 10301

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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093238339 Maria Pygerou-kofinas Pediatrics 506 Sixth Street Kp4, Brooklyn, NY 11215 2017-07-19
1063893089 Namirembe Joan Kazibwe Pediatrics 539, 85th Street, Apt 3f, Brooklyn, NY 11209 2015-06-16
1114339322 Michelle Quan Pediatrics 388 Bridge St, Apt 11b, Brooklyn, NY 11201-5210 2014-05-21
1952728883 Thomas Hays Pediatrics 41 Hausman St, Brooklyn, NY 11222 2014-03-28
1992885057 Ali Nadroo Pediatrics 236 7th Ave, Brooklyn, NY 11215-3415 2006-10-16
1194789388 Asma Asif Ahmad Pediatrics 461 Clarkson Ave, Kings County Medical Center, Brooklyn, NY 11203 2006-04-14
1528063377 John Casey Pediatrics 760 Broadway, Woodhull Medical & Mental Health Center, Department of Pediatrics, Brooklyn, NY 11206 2005-06-17
1427445949 Anna Zylak Pediatrics 121 Dekalb Ave, Dept of Pediatrics, The Brooklyn Hospital Center, Brooklyn, NY 11201 2015-04-22
1275960742 Chris Papazafiratou Pediatrics 2601 Ocean Parkway, Brooklyn, NY 11235 2013-09-30
1790128866 Farah Hussain Pediatrics 450 Clarkson Ave, Brooklyn, NY 11203-2012 2013-04-09
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Competitor

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City BROOKLYN
Zip Code 10301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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